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Annemans M, Van Dyck D, Heylighen A. How does the built environment affect patient safety in relation to physical activity? Experiences at a rehabilitation center. Appl Ergon 2024; 116:104214. [PMID: 38199199 DOI: 10.1016/j.apergo.2023.104214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 12/15/2023] [Accepted: 12/18/2023] [Indexed: 01/12/2024]
Abstract
Physical activity benefits patients in rehabilitation yet comes with various safety issues. The built environment impacts on both safety and physical activity. We aim to explore the role of the built environment in safety issues related to being physically active in rehabilitation. We conducted a case study at a free-standing rehabilitation center for patients with Multiple Sclerosis, neurologic, or locomotor issues. Patients participated in two interviews supported by activity tracking data. Care professionals participated in focus group interviews respectively with two therapists and four head nurses. Accessibility and physical barriers, visual connections and (in)dependence, and spatial familiarity are important themes when identifying aspects of the built environment in relation to reducing safety issues patients encounter during physical activity. Raising awareness about each of these among care and design professionals could help them to balance safety issues in relation to physical activity and to communicate about them in a nuanced way.
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Affiliation(s)
- Margo Annemans
- KU Leuven, Department of Architecture, Leuven, Belgium; University of Antwerp, Department of Interior Architecture, Antwerp, Belgium.
| | - Delfien Van Dyck
- Ghent University, Department of Movement and Sport Sciences, Ghent, Belgium.
| | - Ann Heylighen
- KU Leuven, Department of Architecture, Leuven, Belgium.
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Gomes J, Leitão M, Louro MC, Brandão R, Mateus TL. Avian Malaria in wild birds from a wildlife rehabilitation center in Central Portugal. Vet Parasitol Reg Stud Reports 2023; 43:100904. [PMID: 37451760 DOI: 10.1016/j.vprsr.2023.100904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 05/03/2023] [Accepted: 06/26/2023] [Indexed: 07/18/2023]
Abstract
Avian haemosporidian (Haemoproteus, Leucocytozoon, Plasmodium) are vector-transmitted protozoan parasites highly prevalent in various bird species. Still, their importance for bird health, species decline, or impact on rehabilitation success is underestimated. This study aimed to determine the occurrence and diversity of haemosporidian parasites after necropsies of seventy wild birds from thirty-four species of twelve taxonomic orders. Detection of avian haemosporidian DNA was evaluated using PCR amplification of the cytochrome b gene. 48.6% of all sampled birds were positive, with 24.3% positive for Plasmodium spp./Haemoproteus spp. and 44.3% for Leucocytozoon spp. Mixed infections corresponded to 20% of all tested birds. Sequencing of several selected samples revealed the infection of Plasmodium matutinum, Plasmodium relictum and different lineages of Leucocytozoon spp. This study provides a baseline description of haemosporidian infections in wild birds from a rehabilitation center in central Portugal. The results show the necessity to test and monitor possible infections that undermine recovery processes for different birds. Further research into the occurrence of these haemosporidian species in birds kept in conservation centers is needed to understand the impact on bird health.
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Affiliation(s)
- Jacinto Gomes
- Escola Superior Agrária de Elvas, Instituto Politécnico de Portalegre, Elvas, Portugal; Centre for Interdisciplinary Research in Animal Health (CIISA), Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal; Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Faculty of Veterinary Medicine, University of Lisbon, Portugal.
| | | | - Mariana Caseiro Louro
- Centre for Interdisciplinary Research in Animal Health (CIISA), Faculty of Veterinary Medicine, University of Lisbon, Lisbon, Portugal; Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), Faculty of Veterinary Medicine, University of Lisbon, Portugal
| | - Ricardo Brandão
- Centre for Ecology, Recovery and Surveillance of Wild Animals (CERVAS), Gouveia, Portugal
| | - Teresa Letra Mateus
- Center for Research and Development in Agrifood Systems and Sustainability (CISAS), Escola Superior Agrária de Ponte de Lima, Instituto Politécnico de Viana do Castelo, Ponte de Lima, Portugal; EpiUnit - Instituto de Saúde Pública da Universidade do Porto, Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal; Veterinary and Animal Research Centre (CECAV), UTAD, Associate Laboratory for Animal and Veterinary Sciences (Al4Animals), Vila Real, Portugal
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Dixit S, Borghi-Silva A, Gular K, Reddy RS, Kakaraparthi VN, Ribeiro IL, Tedla JS, Girish S. Exercise modulates the immune system in cardiorespiratory disease patients: Implications for clinical practice during the COVID-19 pandemic. Heart Lung 2023; 57:161-172. [PMID: 36219921 PMCID: PMC9515346 DOI: 10.1016/j.hrtlng.2022.09.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 09/23/2022] [Accepted: 09/25/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND Patients with cardiorespiratory problems often suffer from systemic inflammation. Stress due to the disease and continuous inflammation can undermine the success of the rehabilitation program. OBJECTIVE This review has been undertaken primarily to understand the effectiveness of exercise training on the immune system in individuals undergoing cardiorespiratory rehabilitation and its implications for further management during the COVID-19 pandemic. METHODS Assessors analyzed related studies identified in the MEDLINE, PROQUEST, PUBMED, Cochrane Library, CINAHL, EMBASE, Google Scholar, Physiotherapy Evidence, and Science Direct databases. The studies were divided into groups focused on the effect of exercise on blood leukocytes, the anti-inflammatory effect, and the role of nutrition and exercise in resolving inflammation. RESULTS Twenty-eight studies were included in this review. The number of studies included in each section was as follows: the effects of exercise training on leukocytes in cardiorespiratory conditions (n = 8), anti-inflammatory effect (n = 6), and the role of nutrition and exercise in resolving inflammation (n = 14). The bias risk assessment showed poor internal validity; most included studies were assigned no and unclear descriptors. CONCLUSIONS Substantive evidence is presented that emphasizes the role of moderate-intensity exercise in boosting the immune system in patients with cardiorespiratory diseases. Exercise has anti-inflammatory effects that are vital for overall well-being and resolving longstanding inflammation. Individuals with an active lifestyle had a better pathogen immune response than more sedentary individuals. Our findings highlight the current need to investigate the long-term effects of cardiorespiratory rehabilitation programs.
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Affiliation(s)
- Snehil Dixit
- Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia.
| | - Audrey Borghi-Silva
- Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Carlos, SP, Brazil
| | - Kumar Gular
- Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Ravi Shankar Reddy
- Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Venkata Nagaraj Kakaraparthi
- Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Ivana Leão Ribeiro
- Department of Kinesiology, Faculty of Health Sciences, Universidad Católica del Maule, Talca, Chile
| | - Jaya Shanker Tedla
- Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Srilatha Girish
- Department of Physiotherapy, College of Health Sciences, Gulf Medical University, UAE
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Ahmadzadeh N, Ebadi Fard Azar F, Baradaran HR, Salman Roghani R, Shirazikhah M, Joghataei MT, Bahrampouri S. Availability of outpatient rehabilitation facilities in 2015 in Iran: A nationwide study. Med J Islam Repub Iran 2018; 32:123. [PMID: 30815418 DOI: 10.14196/mjiri.32.123] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Indexed: 11/18/2022] Open
Abstract
Background: Disability can involve many by diseases, injuries, or aging, and thus access to rehabilitation services has a key role in improving these patients' social life. Since 2008, Iran has improved the access to rehabilitation facilities along with the global convention. Yet, nationwide studies are required to evaluate the fair distribution of centres in each province. Thus, the present study aimed to evaluate the distribution of outpatient rehabilitation services in 32 provinces of Iran to help policymakers make more appropriate decisions. Methods: In this cross sectional study, which was conducted between April and October 2017, a master facilities list (MFL) of rehabilitation services that was developed in Iran was used to identify health facilities. Data were collected from the statistics of the Deputy for Rehabilitation of Social Welfare Organization offices and Red Crescent Organization in 32 provinces of Iran. Descriptive data were analysed by SPSS version 22 and reported by percentage and number in 1 000 000 population; distribution was drawn on Iran's map by the GIS software. Results: According to the MFL, outpatient rehabilitation services include physical medicine & rehabilitation, physiotherapy, occupational therapy, speech therapy, audiometry, and orthotics & prosthetics (90%); other rehabilitation centres include general rehabilitation centres, day care centres, and vocational centres (10%). The largest number of occupational therapy, physiotherapy, and audiology offices were found in Tehran, where general rehabilitation centres, day care centres, and vocational centres were less than 3 per 1 000 000 population. There were no rehabilitation centers in 14 provinces, and there were very few physical medicine and rehabilitation centres in most of the provinces. Conclusion: There was significant difference in the distribution of outpatient rehabilitation facilities in different provinces of Iran and some provinces required urgent attention of policymakers, as they had the least number or no rehabilitation facilities.
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Brunault P, Lebigre K, Idbrik F, Maugé D, Adam P, El Ayoubi H, Hingray C, Barrault S, Grall-Bronnec M, Ballon N, El-Hage W. Posttraumatic Stress Disorder Is a Risk Factor for Multiple Addictions in Police Officers Hospitalized for Alcohol. Eur Addict Res 2019; 25:198-206. [PMID: 31117072 DOI: 10.1159/000499936] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Accepted: 03/26/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND In police officers, posttraumatic stress disorder (PTSD) is associated with alcohol use disorder (AUD), but we lack data on the association between PTSD and other substance-related and addictive disorders. OBJECTIVES We assessed whether PTSD could be a risk factor for different substance-related and addictive disorders in police officers, including alcohol, tobacco, cannabis, and gambling. METHOD This cross-sectional study included all police officers admitted consecutively for alcohol to an inpatient ward dedicated to police officers (Le Courbat rehabilitation center, France; n= 133). Each patient completed self-administered questionnaires that assessed lifetime exposure to potentially traumatic events (Life Event Checklist for DSM-5), PTSD severity and diagnosis (PTSD Checklist for DSM-5), AUD severity (Alcohol Use Disorder Identification Test [AUDIT]), tobacco dependence (Fagerström test for Nicotine Dependence), cannabis dependence (Cannabis Abuse Screening test), and gambling disorder (Canadian Problem Gambling Index). RESULTS Mean AUDIT score was 23.7 ± 8.0; 66.2% had an AUDIT score ≥20. Our sample comprised a high prevalence for PTSD (38.3%) and for substance-related and addictive disorders: tobacco dependence (68.4%), cannabis dependence (3.8%), and pathological gambling (3%). Patients with PTSD experienced higher lifetime exposure to traumatic experiences: physical assault, severe human suffering, sudden accidental death of another person, and other types of stressful events/experiences. In multiple linear regressions adjusted for age, sex, and marital status, PTSD was a significant predictor of the severity of AUD and tobacco use disorder, but not of the severity of cannabis use disorder nor gambling disorder. CONCLUSIONS PTSD is common in police officers hospitalized for alcohol and associated with a higher severity of some addictive disorders (alcohol/tobacco). PTSD and its comorbid addictive disorders should be systematically screened and treated in this population.
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Affiliation(s)
- Paul Brunault
- CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France, .,CHRU de Tours, Clinique Psychiatrique Universitaire, Tours, France, .,UMR 1253, iBrain, Université de Tours, Inserm, Tours, France, .,Qualipsy EE 1901, Université de Tours, Tours, France,
| | - Kevin Lebigre
- CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France.,CHRU de Tours, Clinique Psychiatrique Universitaire, Tours, France
| | - Fatima Idbrik
- Soins de Suite et de Réadaptation en Addictologie "Le Courbat", Le Liège, France
| | - Damien Maugé
- CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France.,CHRU de Tours, CSAPA-37, Tours, France
| | - Philippe Adam
- Soins de Suite et de Réadaptation en Addictologie "Le Courbat", Le Liège, France
| | - Hussein El Ayoubi
- CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France.,CHRU de Tours, CSAPA-37, Tours, France.,Centre Hospitalier Louis Sevestre, La Membrolle-sur-Choisille, France
| | - Coraline Hingray
- Pôle Universitaire du Grand Nancy, Centre Psychothérapique de Nancy, Laxou, France
| | - Servane Barrault
- Qualipsy EE 1901, Université de Tours, Tours, France.,CHRU de Tours, CSAPA-37, Tours, France
| | - Marie Grall-Bronnec
- CHU Nantes, Department of Addictology and Psychiatry, Nantes, France.,Université de Nantes, Université de Tours, Inserm, UMR 1246, Nantes, France
| | - Nicolas Ballon
- CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France.,UMR 1253, iBrain, Université de Tours, Inserm, Tours, France.,Qualipsy EE 1901, Université de Tours, Tours, France
| | - Wissam El-Hage
- CHRU de Tours, Clinique Psychiatrique Universitaire, Tours, France.,UMR 1253, iBrain, Université de Tours, Inserm, Tours, France
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Rochefolle A, Maison O, Chazaud C, Rioufol C, Rode G, Luaute J, Jacquin-Courtois S, Guinet-Lacoste A, Carré E. [Impact of pharmaceutical interventions on antibiotic therapy of urinary tract infections in rehabilitation center]. Prog Urol 2017; 27:439-445. [PMID: 28576426 DOI: 10.1016/j.purol.2017.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Revised: 04/17/2017] [Accepted: 04/25/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND The aim of this study was to assess the impact of medico-pharmaceutical partnership on the quality of antibiotic treatment in urinary tract infection (UTI) within rehabilitation center. MATERIAL All antibiotic prescriptions were validated by the pharmacist at the start of treatment and twice a week. All patients with symptomatic urinary tract infection between January 1, 2014 to December 31, 2015 were included in this study. Addition to awareness among specifiers to promoting the appropriate use of antibiotics, the pharmacist suggested pharmaceutical interventions (PI) in order to improve the quality of antibiotic treatments. At the same time, 3 quality indicators (QI) were followed: duration, dosage, antibiotic susceptibility. The compliance rates of this 3 QI allowed to assess the quality of the antibiotic treatment in urinary tract infection. RESULTS The study population included 154 patients corresponding to 252 UTI. Sixty-eight PI were made by pharmacist about urinary tract infection treatment (overdosage or under-dosing, duration unknown, inadequate route of administration). These QI achieved 96.4% compliance with duration, 98.8% compliance with dosage and 99.2% with the antibiotic susceptibility. CONCLUSION This study allowed showing the medico-pharmaceutical impact on the quality of antibiotic treatments in UTI. The awareness among specifiers with a daily validation of prescription by the pharmacist allowed to improve urinary tract infections care in rehabilitation center. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- A Rochefolle
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - O Maison
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - C Chazaud
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
| | - C Rioufol
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France; Université Lyon 1,EMR 3738, Lyon, France.
| | - G Rode
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, centre de recherche en neurosciences de Lyon, université Lyon 1, Lyon, France.
| | - J Luaute
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, centre de recherche en neurosciences de Lyon, université Lyon 1, Lyon, France.
| | - S Jacquin-Courtois
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France; Inserm UMR-S 1028, CNRS UMR 5292, ImpAct, centre de recherche en neurosciences de Lyon, université Lyon 1, Lyon, France.
| | - A Guinet-Lacoste
- Service de médecine physique et réadaptation neurologique, hôpital Henry-Gabrielle, hospices civils de Lyon, 20, route de Vourles, 69230 Saint-Genis-Laval, France.
| | - E Carré
- Service pharmaceutique groupement hospitalier Sud, hospices civils de Lyon (HCL), 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
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